The CSB investigation determined that water trapped in a piping dead-leg froze during cold weather, cracking a 10” diameter liquid propane line and causing the initial release when warmer weather returned. The CSB identified dead-leg identification and management, freeze-protection, and structural steel fire protection as key issues contributing to the incident.
Two near misses were associated with this incident; the release of over 2.5 tons of chlorine from containers adjacent to the PDA, and the inability of workers to access manual deluge valves protecting a nearby LPG storage sphere, which was impacted by the fire.
The CSB made recommendations to Valero, the American Petroleum Institute, the McKee Refinery, and the United Steelworkers and their local.